The Importance of the Mediastinal Triangle in Traumatic Lesions of the Aorta

Trauma-induced aortic injuries continue to be an important factor in morbimortality in patients with blunt trauma. To determine the characteristics of aortic lesions in patients with closed thoracic trauma and associated thoracic injuries. Multicenter cohort study conducted during the years 1994 to...

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Veröffentlicht in:Medicina (Kaunas, Lithuania) Lithuania), 2019-06, Vol.55 (6), p.263
Hauptverfasser: Gulias-Soidan, Daniel, Fraga-Manteiga, Daniel, Mosquera-Rodriguez, Víctor X, Marini-Diaz, Milagros, Lopez-Bargiela, Paula, González-Martín, Cristina, Balboa-Barreiro, Vanesa
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Sprache:eng
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Zusammenfassung:Trauma-induced aortic injuries continue to be an important factor in morbimortality in patients with blunt trauma. To determine the characteristics of aortic lesions in patients with closed thoracic trauma and associated thoracic injuries. Multicenter cohort study conducted during the years 1994 to 2014 in the radiology service in the University Hospital Complex of A Coruña. Patients >15 years with closed thoracic trauma were included. Sociodemographic and clinical variables were studied in order to determine the lesion cause, location, and degree. We analyzed 232 patients with a mean age of 46.9 ± 18.7 years, consisting of 81.4% males. The most frequent location was at the level of the isthmus (55.2%). The most frequent causes of injury were traffic accidents followed by falls. Patients with aortic injury had more esophageal, airway, and cardiopericardial lesions. More than 85% of the patients had lung parenchyma and/or chest wall injury, which was more prevalent among those who did not have an aortic lesion. Patients with trauma due to traffic accidents or being run over presented three times more risk of aortic injury than from other causes. Those with an aortic lesion also had a higher frequency of cardiopericardial, airway, and esophageal lesions.
ISSN:1648-9144
1010-660X
1648-9144
1010-660X
DOI:10.3390/medicina55060263